Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PEDIATRIC COUNSELING CENTER, LLC
Active
Organization
PEDIATRIC COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI TEN BROEKE (OWNER)
(269) 372-6500
Entity
Organization
Contact information
Practice address
950 N 10TH ST, SUITE 200, KALAMAZOO, MI 49009-6112
(269) 372-6500
(269) 372-6503
Mailing address
950 N 10TH ST, SUITE 200, KALAMAZOO, MI 49009-6112
(269) 372-6500
(269) 372-6503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801081725
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up